01 Registration Form

27^thINTERNATIONAL CONGRESS ON THROMBOSIS
REGISTRATION FORM

Welcome to the registration form of the 27^thInternational Congress on Thrombosis (ICT2021) which will be held in a virtual format on November 26 and 27, 2021.

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Do you already have an account?
Select the option "Sign in with your existing account" and sign in with your email and password. The information that you have already provided us will be completed automatically.

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First, click on the option "Create a new user account". And then, fill the information required and click on the button "Next". After that, you can start the registration process.

If you forget your password, you can always click on the button "Forgotten your password?" to receive an email that allows you to change the password. You may use the same account to log in to different forms.

Password

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Confirm Email

Password

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Contact Details

Title

First Name

Last Name

Organization

Position

Email Address

Address City

Address Country

Please complete the following fields with your personal or your company billing details. The invoice will be sent to the participant's email indicated in this form.

Billing Name / Organization

Tax Number / Passport / ID Number

Billing Address Email

Billing Phone Number

Billing Address

Billing ZIP/Post

Billing City

Billing Country

Summary

Terms and Conditions

In case of inability to attend the ICT 2021, we would be grateful if you could send us an e-mail to emltd2021virtual@bcocongresos.com to inform us about it. Any cancellation or alteration of your registration must be notified in writing and will be subject to the following conditions: - Until September 24, 2021: refund of fee minus 2% administrative charge. - From September 25, 2021: no refund

I hereby confirm that I have read and fully understood and accept the cancellation conditions in the terms and conditions of this form.

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Contact Details

Summary

Terms and Conditions

Payment

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01 Registration Form

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Contact Details

Summary

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